Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Personal Care Option


In the 1980's, the state added personal care services to the Medicaid State Plan. At that time, only Medicaid-eligible persons residing in their own homes could be eligible for personal care services. Personal care in people's homes includes assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), and is capped at 80 hours a month. Between July 2000 and June 2001, 23,661 people received Medicaid personal care in their own homes.

In 1995, the state expanded the settings in which care could be provided to adult care homes. In adult care homes, personal assistance includes assistance with ADLs and medications. Assistance with meal preparation, housekeeping, laundry, and money management is covered under the room and board payment. To be eligible for Medicaid covered personal care services, individuals must first meet Medicaid's financial eligibility criteria. However, these criteria differ for individuals in their own home and individuals in adult care homes.

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